Provider Demographics
NPI:1831384429
Name:WEBER, ERIN N (PT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:N
Last Name:WEBER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 VANDERBILT AVE APT 308
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-3362
Mailing Address - Country:US
Mailing Address - Phone:929-203-0750
Mailing Address - Fax:888-714-1889
Practice Address - Street 1:68 JAY ST STE 609
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-8362
Practice Address - Country:US
Practice Address - Phone:929-203-0750
Practice Address - Fax:888-714-1889
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist